Active NPI
Marina Paz De Jesus
- Critical Care Medicine Nurse Practitioner
- Shenandoah, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Nurse Practitioner
- License
- 1140618
- Practice address
- 9180 Pinecroft Dr Ste 400
Shenandoah, TX 77380-3899 - Phone
- (713) 897-7221
- NPI assigned
- Sep 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 888000 | TX | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 1140618 | TX | Primary |
Addresses
Primary practice location
9180 Pinecroft Dr Ste 400
Shenandoah, TX 77380-3899
Mailing address
9180 Pinecroft Dr Ste 400
Shenandoah, TX 77380-3899
Phone (713) 897-7221
Other practice location 1
37 Stockbridge Landing Ct
The Woodlands, TX 77382-1661
Phone (936) 689-5829
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1801 N Loop W
Suite 30
Houston, TX 77008-1445
Phone (713) 802-9781
9180 Pinecroft Dr
Shenandoah, TX 77380-3899
9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2307
Hospital & facility affiliations
- Memorial Hermann Hospital System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hermann Medical Group | Current | Accepting new patients |
Locations
1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800
915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222
1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781
3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876
9180 Pinecroft Dr
Ste 400
Shenandoah, TX 77380
Phone (713) 897-7221
Interoperability endpoints
- mdejesus703276@memorialhermann.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Fulshear, TX
- NPI 1003985102
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1548087828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9180 PINECROFT DR STE 400",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803899",
"telephone_number": "713-897-7221",
"fax_number": "713-897-7235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9180 PINECROFT DR STE 400",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803899",
"telephone_number": "713-897-7221"
}
],
"practiceLocations": [
{
"address_1": "37 Stockbridge Landing Ct",
"address_purpose": "LOCATION",
"city": "The Woodlands",
"state": "TX",
"postal_code": "773821661",
"country_code": "US",
"telephone_number": "936-689-5829",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE JESUS",
"first_name": "MARINA PAZ",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-26",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "888000",
"primary": false
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "TX",
"license": "1140618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.